The adoption of the 2017 U.S. National Security Strategy (NSS) marked Washington’s official pivot to “great power competition” as the conceptual framework for U.S. foreign policy. The shift to great power competition as the foundation for U.S. foreign policy represents an acknowledgment that the “forever wars” in the Middle East had become an expensive, strategically dubious distraction from the more pressing challenge posed by a revanchist Russia and a rising China. The template for much of the “new” thinking about great power competition is the Cold War – the last time the U.S. faced a peer competitor – whose shadow hangs over much thinking about U.S. policy toward Beijing and Moscow. In many ways, though, the Cold War was an outlier in the history of U.S. foreign policy, a product of very specific circumstances that are unlikely to be replicated in the 21st century. A danger exists in seeing the Cold War as a typical example of great power competition, or in using it as a template for U.S. foreign policy in the 21st century. Great power competition is usually a chronic condition, which is to say, more or less incurable. In order for a country like the United States to enter a new era of great power competition with China and Russia, it will need to convince the American public that the stakes are high and the dangers are great enough to justify the costs. Without the ideological or existential stakes of the Cold War, public support for an assertive strategy of containing Chinese and Russian influence will likely be hard to maintain. Rather, the U.S. is likely to continue the reversion toward its pre-Cold War pattern of seeking to insulate itself from the dangers of the world, and increasingly pass the burden of resisting the expansion of Chinese and Russian influence to others.